{
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"FirstLineMailingAddress": "PO BOX 91182",
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"MailingAddressCityName": "RALEIGH",
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"FirstLinePracticeLocationAddress": "1100 LOGGER COURT",
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"EnumerationDate": "08/15/2017",
"LastUpdateDate": "08/15/2017",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "MCCLEOD",
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"TaxonomyName": "Clinical Social Worker",
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}
},
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}
}
}
}